PMID- 27347122 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 12 IP - 1 DP - 2016 Jul TI - Prospective evaluation of FISH for detecting upper tract urothelial carcinoma in voided urine specimens. PG - 183-188 AB - The aim of the present study was to estimate the diagnostic value of fluorescence in situ hybridization (FISH) analysis of tumor cells in voided urine specimens for detecting upper tract urothelial carcinoma (UTUC). Cytology and FISH analyses were conducted on voided urine collected in the morning from 125 patients with suspected UTUC. During follow-up, ureteroscopy with biopsy and histopathology were used to confirm the presence of tumors. The average follow-up time was 23.8 months (range, 6-36 months). A total of 8 patients who could not be contacted until the last follow-up were excluded from the study. Of the remaining 117 patients, 19 were histologically demonstrated to have UTUC, of whom, 3 patients had stage pTis disease, 6 had stage pTa disease, 5 had stage pT1 disease and 5 had stage pT2 disease (7 G1, 8 G2 and 4 G3). The overall sensitivity of FISH to detect UTUCs in voided urine specimens was 84.21% (16/19), whereas that of cytology was 42.11% (8/19) (P<0.05). The overall specificity of FISH to detect UTUCs in voided urine specimens was 89.80% (88/98), compared with 94.90% (93/98) of cytology (P>0.05). The positive predictive value (PPV) and negative predictive value of FISH were 80.00% (16/20) and 97.78% (88/90), respectively, whereas those of cytology were 100.00% (8/8) (P>0.05) and 90.29% (93/103) (P>0.05), respectively. The present data indicated that FISH was a method capable of detecting UTUCs in voided urine specimens with good sensitivity and specificity, although it exhibited a high rate of false positivity and low PPV. FAU - Yu, Qiubo AU - Yu Q AD - Cell Genetics Laboratory, Molecular Medical Laboratory Center, Chongqing Medical University, Chongqing 400016, P.R. China. FAU - Li, Yanan AU - Li Y AD - Cell Genetics Laboratory, Molecular Medical Laboratory Center, Chongqing Medical University, Chongqing 400016, P.R. China. FAU - Li, Gang AU - Li G AD - Cell Genetics Laboratory, Molecular Medical Laboratory Center, Chongqing Medical University, Chongqing 400016, P.R. China. FAU - Li, Tinghong AU - Li T AD - Cell Genetics Laboratory, Molecular Medical Laboratory Center, Chongqing Medical University, Chongqing 400016, P.R. China. FAU - Zeng, Han AU - Zeng H AD - Cell Genetics Laboratory, Molecular Medical Laboratory Center, Chongqing Medical University, Chongqing 400016, P.R. China. FAU - Yang, Zhu AU - Yang Z AD - Cell Genetics Laboratory, Molecular Medical Laboratory Center, Chongqing Medical University, Chongqing 400016, P.R. China. FAU - Wang, Deling AU - Wang D AD - Department of Urological Surgery, The First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, P.R. China. LA - eng PT - Journal Article DEP - 20160517 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC4906663 OTO - NOTNLM OT - fluorescence in situ hybridization OT - prospective OT - upper tract urothelial carcinoma OT - voided urine specimen EDAT- 2016/06/28 06:00 MHDA- 2016/06/28 06:01 PMCR- 2016/05/17 CRDT- 2016/06/28 06:00 PHST- 2015/03/16 00:00 [received] PHST- 2016/03/22 00:00 [accepted] PHST- 2016/06/28 06:00 [entrez] PHST- 2016/06/28 06:00 [pubmed] PHST- 2016/06/28 06:01 [medline] PHST- 2016/05/17 00:00 [pmc-release] AID - OL-0-0-4592 [pii] AID - 10.3892/ol.2016.4592 [doi] PST - ppublish SO - Oncol Lett. 2016 Jul;12(1):183-188. doi: 10.3892/ol.2016.4592. Epub 2016 May 17.